2I Eat at Least Five Servings of Fruits And/Or Vegetables Every Day (One Serving Equals
Physical Fitness and Nutrition
- I avoid eating foods that are high in fat (fatty cuts of meat, whole milk dairy products, fried foods, hot dogs, processed foods, rich desserts, and creamy sauces).
2I eat at least five servings of fruits and/or vegetables every day (one serving equals 1/2 cup).
3I eat foods that are high in fiber daily (examples: whole grain breads, cereal, fresh fruits or vegetables).
4I maintain my recommended weight.
5I vary my physical activity to include walking, aerobics, weights, stretching, and swimming.
Self Care
6. I avoid mixing drugs and alcohol.
7. I receive vaccines as recommended (i.e. flu, pneumonia, tetanus).
8. I brush and floss my teeth or care for my dentures at least once a day.
9. I see my personal physician annually.
10. My blood pressure level is within the reange recommended by my physician (includes blood pressure controlled with medication).
TestWell®: Wellness Inventory for Older Adults
Instructions
On the answer sheet provided, please circle the number best identifies your response to each corresponding statement.
- Never or Almost Never
- Occasionally
- Often
- Very Often
- Always or Almost Always
Safety
11. If I use rugs, they have non-skid backing.
12. I ensure that the batteries in my smoke detector are checked twice a year (such as when the time changes).
13. I ensure that the water temperature in my home is set so it is not scalding.
14. I wear a seat belt and shoulder harness (when available) while driving or riding as a passenger.
15. I avoid riding with people who drive under the influence of alcohol or other drugs.
Environmental Wellness
16. When available, I regularly recycle my paper, plastic, glass, and aluminum.
17. I purchase products made with recycled or biodegradable materials whenever possible.
18. To conserve energy, I turn off electrical appliances when not in use.
19. I do not let the water run unnecessarily.
20. I avoid exposing myself to tobacco smoke.
Social Awareness/Support
21. I can enjoy myself without the use of recreational drugs (i.e. alcohol, marijuana, cocaine, LSD, etc.).
22. I have friends or relatives who I can rely on for help and support.
23. When I have an important decision to make, I have someone that I can talk with.
24. I help others (examples: shopping, visiting people, calling people, providing transportation).
25. I resolve conflict in a positive and respectful manner.
Intimacy/Emotional Awareness
26. I love others without expecting them to earn my love.
27. I have hope for the future.
28. I am aware of certain situations or experiences that tend to upset me emotionally.
29. I enjoy life.
30. I am able to experience intimacy (a loving relationship) with another person.
Emotional Management
31. I accept things about myself that I cannot change.
32. I can say "no" without feeling guilty.
33. I am able to handle the stress in my life, alone or with the help of others.
34. I get enough sleep so that I can manage my emotions effectively.
35. I laugh at least once a day.
Intellectual Wellness
36. I keep informed of current events by using a variety of resources.
37. I take classes at locations such as my local senior center, park district, or place or worship.
38. I watch news and educational programs on the television.
39. I choose to seek opportunities to learn new things.
40. I enjoy doing crossword puzzles or other work games.
Outside Interests
41. I enjoy singing, dancing, playing, or listening to music.
42. I enjoy being with people of all ages.
43. I work and/or volunteer.
44. I choose to cultivate a hobby.
45. I enjoy meeting new people.
Spirituality and Values
46. I feel I have purpose and meaning in my life.
47. My faith and values sustain me.
48. I understand that others have values and beliefs different from mine.
49. I have people in my life who share my beliefs and values.
50. I accept things that are not within my control.